Occluding device and method of manufacturing occluding devices

ABSTRACT

An occluding device for occlusion of fluid flow through a lumen of a body vessel is manufactured by wedging fibers between adjacent coil windings of a primary coil so that the fibers extend generally radially across the primary coil body between the primary coil windings and outward therefrom. An elongated adhesive applicator is inserted into the primary coil lumen and subsequently proximally withdrawn while simultaneously depositing along the primary coil windings. The fibers and the adhesive are placed in overlapping locations so that the fibers extend through the adhesive. The fibers are thus blocked from slipping along their length relative to the coil body by the adhesive adhering to the fibers inside the primary coil lumen. The adhesive extends radially outward from the coil lumen no farther than the outer primary coil radius. The adhesive adheres to the fibers and may or may not adhere with the primary coil windings.

CROSS-REFERENCE TO RELATED APPLICATIONS

This application is a divisional application of U.S. patent applicationSer. No. 14/886,461, filed Oct. 19, 2015, which is a divisionalapplication U.S. patent Ser. No. 13/799,591, filed Mar. 13, 2013, nowU.S. Pat. No. 9,192,389, the entire contents of which is incorporatedherein by reference.

TECHNICAL FIELD

The present invention relates to medical devices. More particularly, theinvention relates to occluding devices and methods of manufacturingoccluding devices.

BACKGROUND

Fibered coils have been used as a primary occluding device for treatmentof various arteriovenous malformations (AVM) and varicoceles, as well asfor many other arteriovenous abnormalities in the body. Occludingdevices are also used to repair abnormal shunts between arteries andveins, prevent or reduce blood flow to tumors, stop hemorrhaging as aresult of trauma, and stabilize aneurysms to prevent rupture. Pushableand fluid-deliverable fibered coils may be configured in a variety ofsizes with varying diameters and may be made of several differentmaterials including stainless steel and platinum.

Some fibered coils have strands of fiber wedged between the coilwindings. Upon deployment in a body vessel for occlusion, such coils arebent, thus locally increasing the space between the coil windings.

SUMMARY

The present invention provides an improved occluding device and animproved method of manufacturing such an occluding device.

According to a first aspect of the invention, an occluding device forocclusion of fluid flow through a lumen of a body vessel comprises aprimary coil having primary coil windings forming a primary coil bodywith an outer primary coil radius and a primary coil lumen; and fibersattached to the primary coil, the fibers having a length extendinggenerally radially across the primary coil body between the primary coilwindings and outward therefrom, the fibers being blocked from slippingalong their length relative to the coil body by an adhesive adhering tothe fibers inside the primary coil lumen, the adhesive extendingradially outward from the coil lumen no farther than the outer primarycoil radius. Thus, the fibers are secured inside the primary coilwindings without increasing the diameter of the primary coil duringdelivery.

According to one embodiment of the invention, the adhesive is made of amaterial that does not form a bond with the primary coil windings. Thethus chosen adhesive locks the fibers inside the primary coil withoutaffecting the flexibility of the primary coil. Alternatively oradditionally, the adhesive may be made of a durably elastic material.

According to another embodiment of the invention, the adhesive may joinsa plurality of fiber strands into a fiber bundle. Out of the pluralityof fiber strands, two or more fiber strands may extend across theprimary coil body between different primary coil windings, thusproviding an additional safeguard against dislodging of fiber strands.Even if the primary coil were to break in one location, the fiber bundlewould still be secured by the fiber strands extending between differentcoil windings.

According to a further aspect of the invention, the adhesive may thickenthe fibers inside the primary coil lumen to a thickness greater than adistance between adjacent primary coil windings and thereby lock thefibers relative to the primary coil. Preferably, the thickness isgreater than the distance between adjacent coil windings when theprimary coil is in a bent configuration. For example, if the primarycoil has a relaxed shape that is curled into a secondary coil with aseries of secondary loops, the thickness of the adhesive-thickenedfibers is preferably greater than the distance between the adjacent coilwindings when the primary coil is in its relaxed shape.

According to yet another aspect of the invention, the adhesive is madeof a material that forms bonds with both the fibers and the primary coilwindings. Preferably, the adhesive material is then chosen from durablyelastic materials.

According to one aspect of the invention, an occluding device forocclusion of fluid flow through a lumen of a body vessel is manufacturedby a method comprising the steps of providing a primary coil havingprimary coil windings forming a primary coil body with an outer primarycoil radius and a primary coil lumen; wedging fibers between adjacentcoil windings so that the fibers extend generally radially across theprimary coil body between the primary coil windings and outwardtherefrom; distally inserting an elongated adhesive applicator into theprimary coil lumen; proximally withdrawing the adhesive applicator whilesimultaneously depositing along the primary coil windings; and whereinthe fibers and the adhesive are placed in overlapping locations so thatthe fibers extend through the adhesive. In the course of performing themethod, the fibers may be wedged between the adjacent coil windingsbefore the adhesive is deposited, or afterwards.

In one embodiment of the invention, the elongated adhesive applicator isa wire guide.

According to a further aspect of the invention, the wire guide may behollow with a longitudinal channel extending from a proximal end to atleast one opening near a distal end. For example, the at least oneopening may be formed by two radial openings opposite each other.

According to yet another aspect of the invention, the at least oneopening may be proximally adjacent to a tapered or rounded distal tip.Preferably, the tapered or rounded distal tip has a length of at mostabout 1 cm.

According to an alternative aspect of the invention, the elongatedadhesive applicator has an outer surface, and the method comprises thefurther step of applying adhesive to the outer surface prior toinserting the adhesive applicator into the primary coil lumen.

Further details and benefits of the invention become apparent from thefollowing description of various embodiments shown in the attacheddrawings. The drawings are provided for purely illustrative purposes andare not intended to limit the scope of the present invention.

BRIEF DESCRIPTION OF THE DRAWINGS

In the drawings,

FIG. 1a is a side view of an occluding device in accordance with oneembodiment of the present invention;

FIG. 1b is a cross-sectional view of the occluding device of FIG. 1ataken along line 1 b-1 b;

FIG. 2a is a side view of a primary coil in FIG. 1 depicting theoccluding device in an uncoiled length;

FIG. 2b is a cross-sectional view of the primary coil in FIG. 2 a;

FIG. 3a illustrates a first step of a first embodiment of a method ofassembling the occluding device of FIG. 2;

FIG. 3b illustrates a second step of the method of FIG. 3 a;

FIG. 3c illustrates a third step of the method of FIGS. 3a and 3 b;

FIG. 3d illustrates a fourth step of the method of FIGS. 3a through 3 c;

FIG. 4a illustrates a first step of a second embodiment of a method ofassembling the occluding device of FIG. 2;

FIG. 4b illustrates a second step of the method of FIG. 4 a;

FIG. 4c illustrates a third step of the method of FIGS. 4a and 4 b;

FIG. 5a is a cross-sectional view of the occluding device of FIG. 1ataken along line 5 a-5 a;

FIG. 5b is an enlarged view of the occluding device in area 5 b of FIG.1a ; and

FIG. 6 is an exploded view of an embolization kit for one embodiment ofthe occluding device of the present invention;

DETAILED DESCRIPTION OF THE DRAWINGS

The following provides a detailed description of currently preferredembodiments of the present invention. The description is not intended tolimit the invention in any manner, but rather serves to enable thoseskilled in the art to make and use the invention.

The present invention generally provides an occluding device used fortranscatheter embolization. The occluding device is preferably used toocclude fluid flow through a lumen of a body vessel such as for anocclusion of an arteriovenous malformation (AVM). The occluding devicecomprises a primary coil having a relatively low initial tension. Theprimary coil may be formed in a helical shape to define a secondarycoil. Preferably, the primary coil 11 assumes the shape of the secondarycoil 12 in a relaxed state, i.e. without the influence of any externalforces. The occluding device may be made of any material suitable foroccluding devices that is preferably detectable with customary imagingmethods, for example platinum for its radiopacity.

The occluding device preferably includes fibers wedged or attachedbetween loops of the primary coil and extending therefrom. When theoccluding device is deployed in a lumen of a body vessel, the fibershelp to occlude fluid flow through the lumen of the body vessel.

The occluding device also may be used for treatment of renal AVM,pulmonary AVM, vascular tumors, low-flow fistulas, trauma relatedhemorrhages, and visceral vasculature defects including varicoceles,aneurysms, and selected telangiectasias. For example, treatment ofvisceral vasculature defects may include but are not limited toembolotherapy on gastroduodenal hemorrhages, hepatic aneurysms, celiacaneurysms, internal iliac aneurysms, and internal spermatic varicoceles.

FIG. 1a illustrates an occluding device 10 for occlusion of fluid flowthrough a lumen of a body vessel in accordance with one embodiment ofthe present invention. The occluding device shown in FIGS. 1a through2b, 5a, and 5b comprises a primary coil 11 formed in a secondary coil12. The primary coil 11 is formed to define a primary body 13 defined byprimary windings 19 that are arranged adjacent to each other withminimal spacing and that surround a primary lumen 15. The primary body13 may be further shaped by a coil winding machine into a helical shapeto define a secondary coil 12. The secondary coil 12 includes a seriesof secondary loops 20 of a secondary body 14 having a first end 16 and asecond end 18. The series of secondary loops 20 define a cross-sectionallumen formed axially along the secondary coil 12 as seen in FIG. 5a .Preferably, the occluding device 10 further includes fibers 24 attachedto the primary windings 19 of the primary coil 11.

Preferably, the primary coil 11 comprises platinum or any other suitablemetal, composition, or alloy having between about 50,000 and 350,000pounds per square inch tensile strength. It has been determined that thetensile strength range described above provides the coil with thecapability of being flexible, malleable, and folded.

The primary coil 11 may be made by any apparatus known in the art. Forexample, the coil may be made by any commercial coil winding machinesuch as a roller deflecting apparatus, a mandrel apparatus, or any othersuitable means.

In this embodiment, the primary coil 11 may have a length of betweenabout 3 to 20 centimeters. As shown in FIG. 5a , the secondary coil 12may have an outer diameter ranging between about 3 and 45 millimeters.For most applications, the outer diameter will not exceed about 25millimeters. The primary coil 11 may have an outer diameter of betweenabout 0.010 and 0.04 inch. The catheter inner diameter through which theocclusion device may be advanced ranges between about 0.014 and 0.045inch, depending on the outer diameter of the primary coil 11.

FIGS. 1 and 5 b illustrate the helical body 14 of the secondary coil 12having a series of connected secondary loops 20 axially spaced apart bya predetermined distance. In this embodiment, the predetermined distanceof up to 4 millimeters curl space. Curl space is defined as the distancebetween two secondary loops 20 of secondary coil 12.

As shown in FIGS. 1 and 2, the fibers 24 of the occluding device 10 areattached to the primary coil 11 and extend therefrom. The fibers 24 arespaced apart from each other and are held between the primary windings19 of the primary coil 11. The fibers 24 include strands 28 made of asynthetic polymer such as a polyester textile fiber, e.g., DACRON™. Asdesired, the strands may be wedged between alternating primary windings19, alternating double primary windings 19, or any desiredconfiguration. The strands 28 being held spaced apart from each otheralong the extended length of the primary coil 11, e.g., 14 centimeters,avoid an enlarged diameter created when fibers 24 fold or bend over eachother when the primary coil 11 is loaded in a catheter. As a result, anundesirable resistance is avoided when the primary coil 11 is advancedthrough the catheter.

Preferably, the strands 28 have a length extending generally radiallyacross the primary body 13 between the primary windings 19 and outwardfrom the primary coil 11. The length of the fibers 24 ranges betweenabout 3 and about 8 millimeters. In an application the strands may bebetween about 5 to 6 millimeters long as desired. In this embodiment,the fibers 24 are spaced apart from each other by about 1 to 3millimeters. Preferably, the strands 28 have an outer diameter of about0.0005 to 0.002 inch.

As shown in FIG. 1b and, in more detail, in FIG. 2b , the fibers 24 areblocked from slipping out of the primary body 13 along their length byan adhesive 30 adhering to the fibers inside the primary coil lumen. Inthe shown embodiments, the adhesive 30 forms beads 32 around the fibers24. The adhesive 30 is generally located inside the lumen 15 of theprimary coil 15. Small amounts of the adhesive 30 may extend between theprimary coil windings, but an improved method of manufacturing theoccluding device 10 described below ensures that the adhesive generallydoes not extend farther outward than the outer diameter d of the primarycoil 11. Thus, the adhesive does not enlarge the diameter of theoccluding device 10 and does not impede the delivery of the primary coil11 through a catheter or a syringe.

FIG. 2b shows the adhesive beads 32 in two locations along the length ofeach of the fibers 24. The two locations are those inside the lumen 15of the primary coil 11 that are adjacent to the primary windings 19. Theadhesive 30 may have a high surface tension that promotes beading aroundthe fibers 24. Alternatively, the adhesive may only be applied to onelocation along each fiber 24 or along the entire portion of the fiberthat extends inside the primary lumen 15.

In one embodiment of the invention, the adhesive 30 is made of amaterial that does not form a bond with the preferably metallic primarywindings 19, but with the material of the fibers 24. Preferably, theadhesive 30 is applied in a low-viscosity state that obtains a higherviscosity after the fibers 24 have been inserted between the primarywindings 19. For example, the material of the adhesive 20 and of thefibers 24 may be chosen to promote cross-linking during a drying orcuring process. The curing process may be facilitated by heat, light, ora chemical process over time. Alternatively, the adhesive 30 may be madeof a material that forms bonds with both the fibers 24 and the primarycoil windings 19.

The adhesive 30 may further be made of a durably elastic material, forexample silicone. Due to the elasticity, the adhesive 30 resistsbreakage and chipping when the primary coil 11 is deformed before andafter implantation in a body vessel. Especially if the adhesive 30 alsobonds with the primary windings 19, it is also preferable that theadhesive 30 retains some elasticity to compensate for movements of theprimary coil windings 19 relative to each other while the primary coil11 is loaded into a catheter or syringe and during implantation.

As shown in FIG. 2b , the adhesive 30 may join a plurality of fiberstrands 28 into a fiber bundle 34. While FIG. 2b shows fiber bundles 34with fiber strands 28 that all extend between the same primary windings19, alternatively, different fiber strands 28 of the same fiber bundle35 may also extend outward between different primary windings 19 so thatthe fiber bundle 35 may, for example, be bifurcated or trifurcatedthrough the primary windings 19. Larger beads 33 of adhesive may beformed to adhere to the strands 28 of the split fiber bundle 35.Although only one of the split fiber bundles 35 is shown in FIG. 2b ,several or all fiber bundles of the occluding device may be split amongprimary windings 19. Thus, even if the primary coil 11 were to bedamaged in one location, the fiber bundle 35 would still be secured byfiber strands 28 extending between primary windings 19 unaffected by thedamage.

Preferably, the adhesive thickens the fibers 24 inside the primary coillumen 15 to a thickness that is greater than the distance between theadjacent primary coil windings 19. While the primary coil 11 is usuallytightly wound so that no or only minimal spaces are present between theprimary windings 19 when the primary coil 11 is straightened absent anexpanding force, the spaces increase when the primary coil 11 is curledinto the secondary coil 12 or when the primary coil 11 is bent duringimplantation in the body vessel. Preferably, the adhesive, in the formof the beads 32 or other shapes, thickens the fibers to a thickness thatamounts to at least the space between the primary windings 19 when theprimary coil 11 assumes a bent shape, particularly the curled shape ofthe secondary coil 12.

FIGS. 3a through 3d illustrate a first example of a method of assemblingthe occluding device 10. An elongated adhesive applicator 36 is insertedinto the primary coil lumen from one axial side and through the primarylumen 15 to the other coaxial end of the primary coil 11. For example,the adhesive applicator 36 may be a wire guide 37.

In one embodiment of the invention, the wire guide 37 is hollow with alongitudinal channel 38 extending from a proximal end to openings 40near a distal end. In the embodiment of FIG. 3, two radial openings 40are provided opposite each other. It is, however well within the scopeof the present invention to provide only one opening 40, for example atthe distal end of the wire guide 37, or more than two openings 40. Theopenings may be distributed around the circumference of the wire guide.Also, the openings 40 may be axially offset from each other to allow forlarger openings 40 than if all openings 40 were all placed side by sidein a single axial location the wire guide.

If the opening or openings 40 are radial openings, the wire guide 37 mayhave a rounded or tapered distal tip 42 facilitating the insertion ofthe wire guide 37 into the primary coil 11 without damage to the primarywindings 19. In the example shown, the distal tip 42 is rounded, but itmay additionally be tapered. The rounded tip may even make it possibleto insert the wire guide into the primary coil 11 without firststraightening the primary coil 11. The primary coil 11 can easily slippast the rounded tip 42 without damage or plastic deformation, and therounded tip reduces the risk that the distal end of the wire guide 37could get caught on any of the primary windings 19.

The tapered or rounded distal tip 42 does not need to be very long tofacilitate threading the primary coil onto the wire guide 37. The distaltip 42 may have a length of up to about 1 cm. While such a short lengthof the distal tip 42 is preferred, greater lengths are still within thescope of the present invention.

Instead of a hollow adhesive applicator 36, a solid elongated adhesiveapplicator may be used for applying the adhesive.

Once the adhesive applicator 36 is inserted into the primary lumen 15,the adhesive applicator 26 is slowly withdrawn while the adhesive 30 issimultaneously applied to the primary coil windings 19 inside theprimary lumen 15.

When a solid applicator 36 is used to deposit the adhesive, the adhesive30 may be applied to the outer surface of the adhesive applicator 36prior to inserting the adhesive applicator 36 into the primary coillumen 15. This method of depositing the adhesive 30 is mostly suited forrelatively short primary coils 11 because the adhesive 30 may bedepleted over only a short axial distance along the primary coil. Todouble the axial length, in which the adhesive is deposited, the solidadhesive applicator 36 may also be inserted into the lumen and withdrawnfrom the opposite end of the primary coil 11.

Especially for longer primary coil 11, the hollow guide wire 37 as shownin FIGS. 3a through 3c is better suited for an even axial distributionof the adhesive 30. While the guide wire 37 is withdrawn from theprimary lumen 15, the adhesive 30 is pressed from the proximal end ofthe guide wire 37 through the longitudinal channel and out of theopenings 40 onto the inside surfaces of the primary windings 19. The tworadial openings 40 of the shown embodiments created to longitudinallines of adhesive 30 that are circumferentially offset by about 180°.Thus the adhesive is deposited in two lines extending opposite to eachother along the inside of the primary lumen 15. Alternatively, a singledistal opening 40 in the guide wire 37 might be used to substantiallyfill out the primary lumen 15 with the adhesive 30, or a greater numberof radial openings 40 may be used to create more than two longitudinallines of adhesive 30 along the inside of the primary lumen 15.

As shown in FIG. 3d , after the adhesive 30 has been deposited insidethe primary lumen 15, the fibers 24 may be wedged between adjacentprimary coil windings 19 in angular locations where the adhesive hasbeen deposited. For example, as the lines of adhesive 30 are shown to belocated at the top and at the bottom of the primary lumen 15, the fibers24 may be inserted in a generally vertical orientation. In FIG. 3d , forexample, the fibers may be inserted between two adjacent primary coilwindings 19 from behind, i.e. from the background of the drawing towardthe foreground of the drawing. As a result, the fibers 24 extendgenerally radially across the primary body 13 between the primary coilwindings 19 and outward therefrom. Because the fibers 24 were insertedbetween the primary windings 19 in a direction generally perpendicularto the length of the fibers 24, none of the adhesive 30 comes intocontact with any portions of the fibers 24 that extend outward from theprimary body 13. This process ensures that the adhesive remains mostlyinside the primary lumen and does not enlarge the outer diameter d ofthe primary coil 11.

In a second embodiment of the method of assembling the occluding device10, the step of FIG. 3d is performed first, before any adhesive isdeposited in the primary coil 11, as illustrated in FIGS. 4a through 4c. After all the fibers 24 have been placed in their positions betweenthe primary windings 19 according to FIG. 4a , the adhesive applicator36 with a preferably tapered tip 42 is inserted into the primary lumen15, according to FIG. 4b , and deposits the adhesive 30 in the primarylumen 15. Because the fibers 24 are already present, the tapered tip 42has a distal end that is preferably narrow enough to form a path pastthe fibers 24 and that does not pull the fibers 24 into the primarylumen. Thus, the steps of FIGS. 4b and 4c of depositing the adhesive 30inside the primary lumen 15 may be performed after the step shown inFIG. 4a . In this second embodiment of the method according to FIG. 4,the fibers 24 may be pulled lengthwise between the primary windings 19,i. e. along the length of the fibers 24, because no adhesive is presentinside the primary lumen 15. Thus, even if a fiber portion is pulledfrom the inside of the primary lumen 15 to the outside, that portion ofthe fibers 24 has not come into contact with any of the adhesive 30 yetso that the adhesive 30 does not increase the outer diameter d of theprimary coil 11. As mentioned in connection with the method of FIG. 3,this second embodiment may also be performed with an applicator havingdifferent arrangements of the openings 40, such as a single distal orradial opening or a plurality of openings distributed around thecircumference that may additionally or alternatively be axially offsetfrom each other.

Further, while not shown, it is evident that the adhesive may also beapplied in an amount filling out the entire lumen of the primary coil 11by either one of the methods of FIGS. 3 and 4.

During deployment of the occluding device 10, the primary coil 11 may befolded across the lumen of a body vessel to be occluded. When the device10 is deployed from a catheter, a low inherent tension of the primarycoil provides the primary coil the capability of being folded across thelumen of a body vessel for cross-sectional occlusion. In thisembodiment, when the primary coil is folded with the strands 28, theoccluding device 10 is in a “packed” or “nested” state a length of about5% or more of the original length of the primary coil 11 as generallyknown from the prior art. When packed, the occluding device 10 providesa relatively tightly nested, dense mass that effectively occludes fluidflow though a lumen of a body vessel.

FIG. 6 depicts a body vessel embolization kit 110 which implements theoccluding device in accordance with one embodiment of the presentinvention. As shown, the kit 110 includes a microcatheter 114 defining acatheter lumen and preferably made from a soft, flexible material suchas silicone or any other suitable material. Generally, the microcatheter114 has a proximal end 122, a distal end 124, and a plastic adapter orhub 116 to receive apparatus to be advanced therethrough. In thisembodiment, the inside diameter of the microcatheter 114 may rangebetween 0.014 and 0.027 inch. The kit 110 further includes a guide wire120 which provides the guide catheter 118 a path during insertion of theguide catheter 118 within a body vessel. The size of the wire guide 120is based on the inside diameter of the guide catheter 118.

In this embodiment, the guide catheter or sheath 118 of the kit 110 ismade of polytetrafluoroethylene (PTFE) for percutaneously introducingthe microcatheter 114 in a body vessel. Of course, any other suitablematerial may be used without falling beyond the scope or spirit of thepresent invention. The guide catheter 118 may have a size of about4-French to 8-French and allows the microcatheter 114 to be insertedtherethrough to a desired location in the body vessel. The guidecatheter 118 receives the microcatheter 114 and provides stability ofthe microcatheter 114 at a desired location of the body vessel. Forexample, the guide catheter 118 may stay stationary within a commonvisceral artery, e.g., a common hepatic artery, and add stability to themicrocatheter 114 as the microcatheter is advanced through the guidecatheter to a point of occlusion in a connecting artery, e.g., the leftor right hepatic artery.

When the distal end 124 of the microcatheter 114 is at the point ofocclusion in the body vessel, the occluding device is loaded at theproximal end 122 of the microcatheter 114 and is advanced through themicrocatheter for deployment through the distal end 124. In thisembodiment, a push wire 126 is used to mechanically advance or push theoccluding device through the microcatheter 114. The size of the pushwire used depends on the diameters of the microcatheter.

It is to be understood that the body vessel embolization kit 110described above is merely one example of a kit that may be used todeploy the occluding device in a body vessel. Of course, other kits,assemblies, and systems may be used to deploy any embodiment of theoccluding device without falling beyond the scope or spirit of thepresent invention.

The occluding device may be deployed in a body vessel by a pushembolization method or a squirt embolization method in accordance withthe present invention.

While the present invention has been described in terms of preferredembodiments, it will be understood, of course, that the invention is notlimited thereto since modifications may be made to those skilled in theart, particularly in light of the foregoing teachings.

1. A method of manufacturing an occluding device for occlusion of fluidflow through a lumen of a body vessel, the method comprising thefollowing steps: wedging fibers between adjacent primary coil windingsof a primary coil having a primary coil body with an outer primary coilradius and a primary coil lumen so that the fibers extend generallyradially across the primary coil body between the primary coil windingsand outward therefrom; inserting an elongated adhesive applicator fromone end of the primary coil into the primary coil lumen; withdrawing theadhesive applicator while simultaneously depositing adhesive along theprimary coil windings; and wherein the fibers and the adhesive areplaced in overlapping locations so that the fibers extend through theadhesive.
 2. The method of claim 1, wherein the fibers are wedgedbetween the adjacent coil windings before the adhesive is deposited. 3.The method of claim 1, wherein the adhesive is deposited before thefibers are wedges between the adjacent coil windings.
 4. The method ofclaim 1, wherein the adhesive applicator is withdrawn from the one endof the primary coil.
 5. The method of claim 1, wherein the adhesiveapplicator is withdrawn from another end of the primary coil.
 6. Themethod of claim 1, wherein the elongated adhesive applicator is a wireguide.
 7. The method of claim 6, wherein the wire guide is hollow with alongitudinal channel extending from a proximal end to at least oneopening near a distal end.
 8. The method of claim 7, wherein the atleast one opening comprises two radial openings opposing each other. 9.The method of claim 7, wherein the at least one opening is at least oneradial opening proximally adjacent to a tapered or rounded distal tip.10. The method of claim 9, wherein the tapered or rounded distal tip hasa length of at most about 1 cm.
 11. The method of claim 2, wherein theelongated adhesive applicator has an outer surface, the methodcomprising the further step of applying adhesive to the outer surfaceprior to inserting the adhesive applicator into the primary coil lumen.12. The method of claim 1, wherein the adhesive fills out the entireprimary coil lumen.
 13. The method of claim 1, wherein the adhesive isdeposited in a way such that the adhesive is inside the primary coillumen and no farther outwards than the outer primary coil radius of theprimary coil.
 14. A method of manufacturing an occluding device forocclusion of fluid flow through a lumen of a body vessel, the methodcomprising the following steps: wedging fibers between adjacent primarycoil windings of a primary coil having a primary coil body with an outerprimary coil radius and a primary coil lumen so that the fibers extendgenerally radially across the primary coil body between the primary coilwindings and outward therefrom; inserting an elongated adhesiveapplicator into the primary coil lumen; and withdrawing the adhesiveapplicator while simultaneously depositing adhesive along the primarycoil windings; wherein the fibers and the adhesive are placed inoverlapping locations so that the fibers extend through the adhesive,and wherein the adhesive is deposited in a way such that the adhesive isinside the primary coil lumen and no farther outwards than the outerprimary coil radius of the primary coil.
 15. The method of claim 14,wherein the elongated adhesive applicator is a wire guide.
 16. Themethod of claim 14, wherein the wire guide is hollow with a longitudinalchannel extending from a proximal end to at least one opening near adistal end.
 17. A method of manufacturing an occluding device forocclusion of fluid flow through a lumen of a body vessel, the methodcomprising the following steps: inserting an elongated adhesiveapplicator into a primary coil lumen of a primary coil, the primary coilhaving primary coil windings forming a primary coil body with an outerprimary coil radius and the primary coil lumen; withdrawing the adhesiveapplicator while simultaneously depositing adhesive along the primarycoil windings; and wedging fibers between the primary coil windings sothat the fibers extend generally radially across the primary coil bodybetween the primary coil windings and outward therefrom; wherein thefibers and the adhesive are placed in overlapping locations so that thefibers extend through the adhesive, and wherein the adhesive isdeposited in a way such that the adhesive is inside the primary coillumen and no farther outwards than the outer primary coil radius of theprimary coil.
 18. The method of claim 17, wherein the elongated adhesiveapplicator is a wire guide.
 19. The method of claim 17, wherein the wireguide is hollow with a longitudinal channel extending from a proximalend to at least one opening near a distal end.